Mr Derek Anthony Douglas, | |
13950 Brandywine Rd, Brandywine, MD 20613-5815 | |
(301) 782-2250 | |
Not Available |
Full Name | Mr Derek Anthony Douglas |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 13950 Brandywine Rd, Brandywine, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740759349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0119007931 (Virginia) | Secondary |
225X00000X | Occupational Therapist | 08644 (Maryland) | Primary |
Provider Name | Fox Rehabilitation Services Of South Carolina, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294 |
Mailing Address | Practice Location Address |
---|---|
Mr Derek Anthony Douglas, 1603 Clarion Ter, Fort Washington, MD 20744-2819 Ph: (301) 752-1809 | Mr Derek Anthony Douglas, 13950 Brandywine Rd, Brandywine, MD 20613-5815 Ph: (301) 782-2250 |
Mrs. Erika Mines Campbell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13228 Hampton Farm Ln, Brandywine, MD 20613 Phone: 301-237-9523 | |
Charles Beacom, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13950 Brandywine Rd, Brandywine, MD 20613 Phone: 855-546-0899 | |
Amina Maharjan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1390 Brandywine Rd, Suite 200, Brandywine, MD 20613 Phone: 301-782-2250 Fax: 410-440-0638 | |
Madhur Puri, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13950 Brandywine Rd, Brandywine, MD 20613 Phone: 301-782-2220 |